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1295362267
MARTELL DA'SHAWN SHANNON
LONG BEACH, CA
NPI
1295362267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
MARTELL DA'SHAWN SHANNON
174 E 59TH ST
LONG BEACH, CA 90805-3468
Phone number: 562-841-7378
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Mailing Address
MARTELL DA'SHAWN SHANNON
174 E 59TH ST
LONG BEACH, CA 90805-3468
Phone number: 562-841-7378
Copy
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